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Treating and preventing common sports injuries

Looking to be more active in 2014? Have you been waiting all year to enjoy winter sports such as skiing or snowboarding?

There are a few common injuries that often get my patients down when they are on the go. Below are a few tips and tricks to help you prevent these common injuries and determine the best treatment options should you need it.

Sprains/Fractures
The most common injuries in the wrist and ankle are sprains and fractures. Throwing, twisting, weight-bearing, and impact can put you at risk for a wrist injury. Ankle sprains and fractures are typically caused by making a fast, shifting movement with your foot planted on the ground.

In most cases, I recommend the RICE approach: rest for around 48 hours; ice the injured area to reduce swelling (use a pack wrapped in a towel); compress with an elastic ACE wrap; and elevate the injury above heart level.

However, if you experience these symptoms, contact your provider for further evaluation.   
  • Pain at the time of injury
  • Swelling
  • Bruising or discoloration
  • Difficulty moving the wrist or ankle
  • A “popping” or tearing sensation during the trauma
  • Warmth and tenderness of the skin
More serious injuries will likely be treated with a splint, boot or cast. The healing process can take up to six weeks. Surgery may also be required.

ACL Tears
The ACL, or anterior cruciate ligament, is one of the major ligaments in your knee that helps with stabilization when turning or planting. ACL injuries take place during cutting or pivoting movements. The hallmark of a torn ACL is a distinct popping noise and your knee may give out. The  ...

Why you should care about fatty liver disease

The liver is a vital organ necessary for survival.  It performs crucial functions including protein synthesis and detoxification.  When excessive amounts of fat and lipids accumulate in the liver cells, this can lead to liver injury and cause a disease called fatty liver disease.  Fatty liver disease is a serious diagnosis that has become one of the most common causes of abnormal liver function tests in the United States.   Fatty liver disease is also referred to as Non Alcoholic Fatty Liver Disease or NAFLD.  NAFLD is associated with other diseases which influence fat metabolism, such as type 2 diabetes.

Why is fatty liver disease important?

NAFLD is a single disease seen in both alcoholics and non-alcoholics, especially in those who are overweight.  When a biopsy is taken of a fatty liver, features of liver injury and fat deposit in the liver may be seen.  These findings are of crucial importance as fat accumulation may cause progressive inflammation of the liver over time.  This is called steatohepatitis.  Unfortunately, NAFLD may progress to cirrhosis. Cirrhosis is scarring of the liver, which may mean someone would later need ....

How to treat PFS runner's knee

Patellofemoral pain constitutes a quarter of the injuries to the knee.  Kneecap pain can be both debilitating and frustrating; prolonged pain can limit physical activity and cause those suffering from it to abandon their recreational and sporting activities. 

Patellofemoral pain usually manifests as a gradual onset of pain around the edge or underneath the kneecap during physical activities.  Common activities such as descending hills or stairs, squatting, running, or sitting for long periods of time can all aggravate the pain and cause soreness. 

How your knee works

patellofemoral pain image from http://www.moveforwardpt.com/The knee joint is made up of three bones: the femur (thigh bone), the tibia (shin bone), and the patella (kneecap).  The patellofemoral joint refers to the kneecap and the groove (trochlea) in the femur in which the patella sits.  The four muscles of the quadriceps all attach to the patella.  The patella is a sesamoid bone (the bone is embedded within the tendon) and it plays a crucial role in the function of the leg by lengthening the lever arm of the muscles and tendons of the quad to maximize power and function and by acting as a shield to protect the knee from direct trauma.  The cartilage covering the kneecap within the knee joint acts as a shock absorber, protecting the underlying bone from stress.  With running and jumping, the knee (and its overlying cartilage) can experience forces up to 8 times bodyweight.  The cartilage itself does not have a nerve supply, but the bone underneath has an extensive nerve supply and these nerves become painful when the cartilage is not functioning properly to pad and protect the bone.

In patellofemoral syndrome, or PFS (also known as runner’s knee), the cartilage undersurface of the patella become angry, inflamed, irritated, and the kneecap hurts.

How to treat PFS or runner’s knee

  1. Loosen things up.  Use a foam roller to roll out the quad muscle and the illiotibial (IT) band.  These tissues all hook into the kneecap and can contribute to pain when they are tight.
     
  2. Make things stronger.   In the early recovery period (the first several weeks when you are just starting out on your recovery journey) ....

Healthy tips for parents and kids to help prevent the spread of colds and the flu

Summer has ended, the kids are back in school, and fall is officially here. Which means….cold and flu season is upon us! Hospitals are already seeing documented cases of seasonal influenza. There are no known cures for colds and flu, so cold and flu prevention should be your goal.

Why do we care about preventing influenza? The flu can be very dangerous for children, causing illness, hospital stays and death each year. The CDC (Center for Disease Control) reports about 20,000 children below the age of 5 are hospitalized from flu complications each year.

The most effective way for preventing the flu is to get the flu shot. It works better than anything else. (Flu vaccination is recommended for all children aged 6 months and older). There are additional strategies you can employ to help ward off those nasty viruses.

Here are 6 tips you can use to help prevent colds and the flu:

Cholesterol and stroke awareness

September is also National Cholesterol Awareness month!

Do you know your numbers? It is important to know your cholesterol levels as they influence your risk of stroke.  Talk to your provider today to find out where you stand!

Do you have trouble remembering “good” cholesterol versus “bad” cholesterol?  An easy way to keep them straight is to think HDL = happy (“good” cholesterol) and LDL = lousy (“bad” cholesterol).  Check out the American Heart Association’s Meet the Fats for memorable information about cholesterol.

How does cholesterol affect stroke risk?  Build-up of cholesterol plaque within your arteries increases your risk of stroke by blocking normal blood flow.  This reduces the delivery of oxygen and nutrients to the affected area.

How can you improve your cholesterol numbers?

Control your blood pressure to prevent stroke

High blood pressure, also called hypertension, is a leading risk factor for stroke. Yet, more than 1 in every 3 adults in the Northwest has been diagnosed with high blood pressure.

Here are some things you can do:
  • Visit your healthcare provider:  Have your blood pressure checked at least once a year – more often if you have a history of high blood pressure, have heart disease, have diabetes, or are overweight. 
  • Get involved:  If you have high blood pressure it's important to work with your provider to improve your health.  This may include changes in diet, exercise, and medications.  Implement changes incrementally for success!
  • Know your family medical history:  If high blood pressure runs in your family, it’s important to ...

What do parathyroid glands do?

Our parathyroid glands are four tiny glands that lie in our neck, just to the sides of our thyroid gland. When normal, they are the size of a grain of rice or a small flat bean.

These glands control calcium balance in our bodies. They do this by producing a hormone named parathyroid hormone (PTH). PTH acts on our bones, kidneys, and gut to keep the right amount of calcium in the right places.

When one or more of these glands become abnormal, they produce too much of this hormone (PTH). This can cause our bones to...

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